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New Vaccine Development: Establishing Priorities: Volume I, Diseases of Importance in the United States (1985)
Board on Population Health and Public Health Practice (BPH)

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. "7. Calculation and Comparison of the Health Benefits and Costs Associated with Candidate Vaccines." New Vaccine Development: Establishing Priorities: Volume I, Diseases of Importance in the United States. Washington, DC: The National Academies Press, 1985.

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New Vaccine Development Establishing Priorities, Volume I: Diseases of Importance in the United States

TABLE 7.5 Costs Associated with Various Vaccines

Pathogen

Vaccine Envisaged

Target Population

Probability of Development

Cost of Development ($ millions)

Total Time to Steady State of Vaccine Use

Total Time to Steady-State Yield of Benefits (years)

Predicted Protective Efficacy a

Anticipated Utilization

Cost of Vaccine Preventable Illness a ($ millions)

Bordetella pertussis

Acellular

Infants

0.9

10

4

7

0.95

Coccidioides immitis

Killed spherule preparation

High-risk individuals residing or working in endemic areas

0.5

10

16.5

51.5

0.7

0.005

49.5

Cytomegalovirus

Attenuated live virus

Seronegative (SN) bone marrow and organ transplant recipients and SN persons with leukemias and lymphomas

0.5

10

6

7

0.7

0.95

30

 

 

Nonpregnant adolescent females

0.5

10

17

27

0.8

0.04

392

 

Glycoprotein produced by recombinant DNA technology

All children

0.5

45

13.5

36.5

0.8

0.46

824.1

Hemophilus influenzae type b

Conjugated polysaccharide

Infants

0.9

30

6

8

0.8

0.76

395

Hepatitis A virus

Attenuated live virus

Susceptibles of all ages (routine for children)

0.95

15

9

29

0.9

0.12

104.6

 

Subunit

Susceptibles of all ages (routine for children)

0.95

25

10

30

0.9

0.04

104.6

Hepatitis B virus

Glycoprotein produced by recombinant DNA technology

High-risk groups (health professionals, homosexuals, IV drug users, etc.)

0.95

10

6.5

21.5

0.9

0.89

145.1

Herpes simplex viruses 1 & 2

Glycoprotein produced by recombinant DNA technology

Children up to age 12 and older Susceptibles

0.9

30

10

30

0.45

0.36

310.4

 

Attenuated live virus

Children up to age 12 and older Susceptibles

0.5

30

18

38

0.65

0.24

310.4

Page
116
Front Matter (R1-R14)
1. Summary (1-16)
2. Priority Setting for Health Related Investments: A Review of Methods (17-27)
3. Overview of the Analytic Approach (28-38)
4. Comparison of Disease Burdens and Costs (39-58)
5. Predictions on Vaccine Development (59-66)
6. Assessing the Likely Utilization of New Vaccines (67-91)
7. Calculation and Comparison of the Health Benefits and Costs Associated with Candidate Vaccines (92-120)
8. Additional Issues in the Selection of Priorities for Accelerated Vaccine Development (121-126)
9. Findings, Conclusions, and Recommendations (127-148)
Appendix A: Some Examples of the Application of Project Selection Method (149-152)
Appendix B: Pathogenic Agents for Which Accelerated Vaccine Development Does Not Appear Appropriate (153-170)
Appendix C: Prospects for Immunizing Against Bordetella pertussis (171-182)
Appendix D: Prospects for Immunizing Against Coccidioidomycosis (183-197)
Appendix E: Prospects for Immunizing Against Cytomegalovirus (198-234)
Appendix F: Prospects for Immunizing Against Hemophilus influenzae type b (235-251)
Appendix G: Prospects for Immunizing Against Hepatitis A Virus (252-260)
Appendix H: Prospects for Immunizing Against Hepatitis B Virus (261-279)
Appendix I: Prospects for Immunizing Against Herpes Simplex Viruses 1 and 2 (280-312)
Appendix J: Prospects for Immunizing Against Herpesvirus varicellae (313-341)
Appendix K: Prospects for Immunizing Against Influenza Viruses A and B (342-364)
Appendix L: Prospects for Immunizing Against Neisseria gonorrhoeae (365-384)
Appendix M: Prospects for Immunizing Against Parainfluenza Viruses (385-396)
Appendix N: Prospects for Immunizing Against Respiratory Syncytial Virus (397-409)
Appendix O: Prospects for Immunizing Against Rotavirus (410-423)
Appendix P: Prospects for Immunizing Against Streptococcus group B (424-439)
Appendix Q: Questionnaire for Assessing Morbidity-Mortality Trade-Offs (440-443)
Appendix R: Technical Notes (444-444)
Appendix S: Biographical Notes on Committee Members (445-449)
Appendix T: Additional Sources of Advice to the Committee (450-452)
Index (453-458)